Evidence map›Paper›PMID 36414311›Full record

Observational studyBMJ open2022

Cardiovascular-related conditions and risk factors in primary care for deprived communities before and during the COVID-19 pandemic: an observational study in Northern England.

Yu Fu, Christopher Price, Shona Haining, Bob Gaffney, David Julien, Paula Whitty, Julia L Newton

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Yu FuPopulation Health Sciences Institute, Newcastle University Faculty of Medical Sciences, Newcastle upon Tyne, UK yu.fu@newcastle.ac.uk.ORCID 0000-0003-4972-0626
Christopher PricePopulation Health Sciences Institute, Newcastle University Faculty of Medical Sciences, Newcastle upon Tyne, UK.
Shona HainingResearch & Evidence, NHS North of England Commissioning Support Unit, Durham, UK.
Bob GaffneyResearch & Evidence, NHS North of England Commissioning Support Unit, Durham, UK.
David JulienDeep End GP Network for the North East and North Cumbria, NHS South Tyneside Clinical Commissioning Group, Jarrow, UK.
Paula WhittyNIHR Applied Research Collaboration North East North Cumbria, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.
Julia L NewtonMedical Director, Academic Health Science Network for North East North Cumbria, Newcastle upon Tyne, UK.
Cumbria Northumberland Tyne and Wear NHS Foundation Trust · GBAcademic Health Science Network North East and North Cumbria · GB

Funding

Department of Health
6 · The paper itself

Abstract

objectivesThe North East of England, ranked as having the highest poverty levels and the lowest health outcomes, has the highest cardiovascular disease (CVD) premature mortality. This study aimed to compare CVD-related conditions and risk factors for deprived practice populations with other general practice (GP) populations in Northern England to England overall, before and during COVID-19 to identify changes in recorded CVD-related risk factors and conditions and evidence-based lipid prescribing behaviour.

designA population-based observational study of aggregated practice-level data obtained from publicly accessible data sets.

setting34 practices that fall into the 15% most deprived practice populations in England were identified as the most deprived communities in the North East and North Cumbria (Deep End).

participantsPatients aged ≥16 registered with GP and diagnosed with any form of CVD. PRIMARY AND SECONDARY OUTCOME MEASURES: CVD-related conditions and risk factors, statin prescribing.

resultsDeep End (n=263 830) had a smaller, younger and more deprived population with lower levels of employment and full-time education and higher smoking prevalence. They had some higher recorded CVD-related conditions than England but lower than the non-Deep End. Atrial fibrillation (-0.9, -0.5), hypertension (-3.7, -1.3) and stroke and transient ischaemic attack rates (-0.5, -0.1) appeared to be lower in the Deep End than in the non-Deep End but the optimal statin prescribing rate was higher (3.1, 8.2) than in England.

conclusionRecorded CVD-related risk factors and conditions remained comparable before and during COVID-19. These are higher in the Deep End than in England and similar or lower than the non-Deep End, with a higher optimal statin prescribing rate. However, it was not possible to control for age and sex. More work is needed to estimate the consequences of the pandemic on disadvantaged communities and to compare whether the findings are replicated in other areas of deprivation.

Indexed as

Cardiovascular DiseasesCOVID-19Hydroxymethylglutaryl-CoA Reductase InhibitorsEnglandHumansPrimary Health CareRisk FactorsHydroxymethylglutaryl-CoA Reductase InhibitorsCARDIOLOGYCOVID-19GENERAL MEDICINE (see Internal Medicine)PUBLIC HEALTH

Identifiers

PMID36414311
PMCPMC9684275
OpenAlexW4309679187

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.